Cassandre Carton, Matthieu Calafiore, Charles Cauet, Nassir Messaadi, Marc Bayen, David Wyts, Wassil Messaadi, Teddy Richebe, Sabine Bayen
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Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study.
Background: GPs can detect cognitive impairment (CI) at a very early stage, allowing early support for people and their caregivers. The early onset of CI is between 50 years and 60 years. Currently, in France, the Mini-Mental State Examination (MMSE) remains the most used screening test, although it has a lower sensitivity and specificity than the Montreal Cognitive Assessment (MoCA) for detecting mild CI, taking an average of 15 minutes to complete.
Aim: To investigate the feasibility of the MoCA during routine consultations in general practice for the early detection of CI and to determine prevalence of CI in a primary care setting.
Design & setting: A quantitative, prospective feasibility study was carried out in real-life working conditions during routine GP consultations in France.
Method: GPs performed MoCA on adults aged ≥50 years, without suspected or confirmed CI.
Results: Sixty-one GPs performed 221 MoCA with a mean duration of 8 minutes and detected mild neurocognitive impairment in 62% of patients.
Conclusion: The MoCA is feasible and easy to perform during routine consultations in general practice by trained and experienced physicians.
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